KENTUCKY REGIONAL EXTENSION CENTER

Hospital Meaningful Use Update from CMS

Hospital Meaningful Use Update from CMS

Eligible Hospitals and Critical Access Hospitals: Submit Meaningful Use Data to the Hospital Quality Reporting System (HQR) via the QualityNet Secure Portal in 2018

CMS has issued the following guidance regarding the notice “Submit Meaningful Use Data to the Hospital Quality Reporting System (HQR) via the QualityNet Secure Portal in 2018” issued on August 7, 2017.

The Medicare EHR Incentive Program Registration and Attestation System will NOT be available for hospitals after December 31, 2017. Hospitals attesting to the Medicare EHR Incentive Program will register and attest in the HQR system. However, the Quality Net Secure Portal is not yet setup to accept attestations for CY 2017. Hospitals will attest to their 90 day reporting period for 2017 starting on January 2, 2018 through February 28, 2018. More information, including a user guide will be made available by CMS closer to January. All hospitals will need to update their log-in information to include Meaningful Use (MU) in Quality Net. This will be available in October and additional details will be released closer to the date.

The following CMS FAQs may be helpful:

Q: Some hospitals already have a Quality Net account as they have submitted electronic Clinical Quality Measures in the past. Will they need to create a separate log-in for HQR to attest to MU or will their previous log-in suffice for MU attestation too?
A: It is our understanding that registration to the site will only occur one time and that hospitals will be able to utilize their already established login information. However, for official confirmation, we recommend that hospitals submit this question by logging into the QualityNet Secure Portal and clicking submit this question to the QualityNet support team via the portal, contacting the QualityNet Help Desk at 1-866-288-8912 (TTY 1-877-715-6222), or emailing the QualityNet help desk at qnetsupport@hcqis.org.

Q: Will hospitals that have never submitted eCQMs to Quality Net previously need to create a new account in order to attest to MU?
A: Yes, correct.

Q: How long do you anticipate the registration process will take and are there instructions on how hospitals will do so?
A: All users requesting access to the QualityNet Secure Portal must be individually approved and verified. This mandatory registration process is used to maintain the confidentiality and security of healthcare information and data transmitted via QualityNet. Providers can register here and must select the appropriate user classification. The QualityNet Security Administrator facilitates the registration process for other users at the organization. Typically, an organization designates two Security Administrators. Providers submitting data via the QualityNet Secure Portal (or using a vendor to submit data on their behalf) are required to designate a Security Administrator. All other registered QualityNet users in an organization are considered basic users. The QualityNet website lists instructions regarding registration, sign-in instructions, password rules, etc. on the left side of the screen.

Q: For 2017, will hospitals continue to be able to submit Clinical Quality Measures via aggregate reporting as they did within the CMS Registration and Attestation System in the new HQR system?
A: The data receiving system is accepting submissions of QRDA Category I (patient level files) test and production files for the Hospital IQR and the Medicare EHR Incentive programs CY 2017/Fiscal Year (FY) 2019 electronic reporting requirements. The system was updated to accept QRDA Category I test and production files utilizing the CY 2017 requirements.

Technical Specifications for CY 2017 Reporting

Eligible Hospitals (EHs) and Critical Access Hospitals (CAHs) that seek to report eCQMs under the Hospital IQR and the Medicare EHR Incentive programs must use the following:

Since the Registration and Attestation System will no longer be available after December 31, 2017 we encourage you to print out documentation from previous participation years to maintain for your records.

Reminder: Join us for our 2017 Healthcare Transformation Survival Seminars

Join us as we travel across the Commonwealth to provide an in-depth look at the Medicare Access and CHIP Reauthorization Act (MACRA) legislation and the Quality Payment Program!

There are significant changes to physician payments that are now tied to quality and value. This event will prepare healthcare providers for the changes under MACRA and Value-Based Payment. We will explore: QPP Eligibility, QPP Reporting Metrics, Improvement Activities, ACI and Meaningful Use, HIPAA Requirements, and Quality Improvement.

Lunch will be provided!
This activity has been approved for AMA PRA Category 1 Credit™

Register Now

Dates/Locations

August 18, 2017 – London, KY
London Community Center
Room AB
529 S Main St
London, KY 40741
9:30AM – 3PM EST

September 14, 2017 – Georgetown, KY
Georgetown College
Banquet Hall
100 Crawford Drive
Georgetown, KY 40324
9:30AM – 3PM EST

September 28, 2017 – Paducah, KY
Baptist Health Paducah
Heart Center Auditorium
2501 Kentucky Avenue
Paducah, KY 42003
9:30AM – 3PM CST

October 5, 2017 – Ashland, KY
Ashland Community College
The Rocky Adkins Pavilion
902 Technology Drive
Grayson, KY 41143
9:30AM – 3PM EST

Registration Fee

Clinicians/Practice Representatives/Non-profit organizations: $25
Vendors and Non-Practice Representatives: $75

Register Now

qpp-surs-logoThis material will be prepared by the QPP Resource Center, the Quality Payment Program for the Midwest, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.

Agenda Announced for 2017 Healthcare Transformation Survival Seminars

This year’s 2017 Healthcare Transformation Survival Seminars will provide a heavy focus on Medicare Access and CHIP Reauthorization Act (MACRA) legislation and the Quality Payment Program.

The topics will include:

  • MACRA Quality Payment Program 2.0 Sessions: Preparing for QPP
    • Getting Ready for QPP – Who is Eligible?
    • How & What Should I Report for QPP?
    • Which Measures Should I Report for QPP?
    • Which Improvement Activities Are Right for Me?
    • How do I Meet the ACI Requirements?
  • Health IT Sessions:
    • How do I Handle Medicaid Meaningful Use?
    • What About Hospital Meaningful Use?
    • What Role Does HIE Play in MU & ACI?
  • How Do I Protect my IT Systems from Bad Guys?
  • How Do I Improve my Performance & QPP Score?

Lunch will be provided!
This activity has been approved for AMA PRA Category 1 Credit™

Register Now

Dates/Locations

August 18, 2017 – London, KY
London Community Center
Room AB
529 S Main St
London, KY 40741
9:30AM – 3PM EST

September 14, 2017 – Georgetown, KY
Georgetown College
Banquet Hall
100 Crawford Drive
Georgetown, KY 40324
9:30AM – 3PM EST

September 28, 2017 – Paducah, KY
Baptist Health Paducah
Heart Center Auditorium
2501 Kentucky Avenue
Paducah, KY 42003
9:30AM – 3PM CST

October 5, 2017 – Ashland, KY
Ashland Community College
The Rocky Adkins Pavilion
902 Technology Drive
Grayson, KY 41143
9:30AM – 3PM EST

Registration Fee

Clinicians/Practice Representatives/Non-profit organizations: $25
Vendors and Non-Practice Representatives: $75

Register Now

qpp-surs-logoThis material will be prepared by the QPP Resource Center, the Quality Payment Program for the Midwest, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.

Join us for our 2017 Healthcare Transformation Survival Seminars

Join us as we travel across the Commonwealth to provide an in-depth look at the Medicare Access and CHIP Reauthorization Act (MACRA) legislation and the Quality Payment Program!

There are significant changes to physician payments that are now tied to quality and value. This event will prepare healthcare providers for the changes under MACRA and Value-Based Payment. We will explore: QPP Eligibility, QPP Reporting Metrics, Improvement Activities, ACI and Meaningful Use, HIPAA Requirements, and Quality Improvement.

Lunch will be provided!
This activity has been approved for AMA PRA Category 1 Credit™

Register Now

Dates/Locations

August 18, 2017 – London, KY
London Community Center
Room AB
529 S Main St
London, KY 40741
9:30AM – 3PM EST

September 14, 2017 – Georgetown, KY
Georgetown College
Banquet Hall
100 Crawford Drive
Georgetown, KY 40324
9:30AM – 3PM EST

September 28, 2017 – Paducah, KY
Baptist Health Paducah
Heart Center Auditorium
2501 Kentucky Avenue
Paducah, KY 42003
9:30AM – 3PM CST

October 5, 2017 – Ashland, KY
Ashland Community College
The Rocky Adkins Pavilion
902 Technology Drive
Grayson, KY 41143
9:30AM – 3PM EST

Registration Fee

Clinicians/Practice Representatives/Non-profit organizations: $25
Vendors and Non-Practice Representatives: $75

Register Now

qpp-surs-logoThis material will be prepared by the QPP Resource Center, the Quality Payment Program for the Midwest, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy.

2016 Kentucky Medicaid MU Attestations Accepted February 13th

cms_incent_logoThe Kentucky Medicaid EHR Incentive Program will be accepting attestations for Program Year 2016 Meaningful Use beginning Thursday, February 13th at 1:00 pm.

User manuals for EPs and EHs for Program Year 2016 are located on the EHR website, under the Manuals section. The deadline to submit an attestation for Program Year 2016 is 11:59 pm, March 31, 2017. Any attestation that is in process after that time will be closed out and not eligible for participation. In the event of any questions or concerns, you may contact the EHR team by emailing EHRIncentives@ky.gov or calling (502) 564-0105 extension 2463.

New Payment Models to Improve Cardiac and Joint Care

cms-logo-smallOn December 20, 2016, the Centers for Medicare & Medicaid Services (CMS) finalized new Innovation Center models that continue the Administration’s progress to shift Medicare payments from rewarding quantity to rewarding quality by creating strong incentives for hospitals to deliver better care to patients at a lower cost. These models will reward hospitals that work together with physicians and other providers to avoid complications, prevent hospital readmissions, and speed recovery.

The announcement finalizes significant new policies that:
• Improve cardiac care: Three new payment models will support clinicians in providing care to patients who receive treatment for heart attacks, heart surgery to bypass blocked coronary arteries, or cardiac rehabilitation following a heart attack or heart surgery.

• Improve orthopedic care: One new payment model will support clinicians in providing care to patients who receive surgery after a hip fracture, other than hip replacement. In addition, CMS is finalizing updates to the Comprehensive Care for Joint Replacement Model, which began in April 2016.

• Provides an Accountable Care Organization opportunity for small practices: The new Medicare ACO Track 1+ Model will have more limited downside risk than in Tracks 2 or 3 of the Medicare Shared Savings Program in order to encourage more practices, especially small practices, to advance to performance-based risk.

These new payment models and the updated Comprehensive Care for Joint Replacement Model give clinicians additional opportunities to qualify for a 5 percent incentive payment through the Advanced Alternative Payment Model (APM) path under the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and the Quality Payment Program. For the new cardiac and orthopedic payment models, clinicians may potentially earn the incentive payment beginning in performance year 2019 or potentially as early as performance year 2018 if they collaborate with participant hospitals that choose the Advanced APM path. For the Comprehensive Care for Joint Replacement model, clinicians may potentially earn the incentive payment beginning in performance year 2017. For the Track 1+ Model, clinicians may potentially earn the incentive payment beginning in performance year 2018, and the application cycle will align with the other Shared Savings Program tracks.

These models are being implemented by the CMS Innovation Center under section 1115A of the Social Security Act, with participation by all hospitals in selected geographic areas in order to yield more generalizable results, and additional protections for small and rural providers. The models will be referred to as:

• The Acute Myocardial Infarction (AMI) Model
• The Coronary Artery Bypass Graft (CABG) Model
• The Surgical Hip and Femur Fracture Treatment (SHFFT) Model
• The Cardiac Rehabilitation (CR) Incentive Payment Model

CMS is also announcing the new Medicare ACO Track 1+ Model. This new opportunity, beginning in 2018, will allow clinicians to join Advanced Alternative Payment Models to improve care and potentially earn an incentive payment under the Quality Payment Program, created by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The new Medicare ACO Track 1+ Model will test a payment model that incorporates more limited downside risk than is currently present in Tracks 2 or 3 of the Medicare Shared Savings Program in order to encourage more rapid progression to performance-based risk.

Below is a list of Kentucky areas affected by the new payment models:

ky-bundle-msas
For more information about the individual models finalized through this rule, visit the CMS Innovation Center website.